This paper proposes a method for the automatic classification of heartbeats in an ECG signal. Since this task has specific characteristics such as time dependences between observations and a strong class unbalance, a specific classifier is proposed and evaluated on real ECG signals from the MIT arrhythmia database. This classifier is a weighted variant of the conditional random fields classifier. Experiments show that the proposed method outperforms previously reported heartbeat classification methods, especially for the pathological heartbeats.

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Supervised and interpatient classification of heart beats is primordial in many applications requiring long-term monitoring of the cardiac function. Several classification models able to cope with the strong class unbalance and a large variety of feature sets have been proposed for this task. In practice, over 200 features are often considered, and the features retained in the final model are either chosen using domain knowledge or an exhaustive search in the feature sets without evaluating the relevance of each individual feature included in the classifier. As a consequence, the results obtained by these models can be suboptimal and difficult to interpret. In this work, feature selection techniques are considered to extract optimal feature subsets for state-of-the-art ECG classification models. The performances are evaluated on real ambulatory recordings and compared to previously reported feature choices using the same models. Results indicate that a small number of individual features actually serve the classification and that better performances can be achieved by removing useless features.

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